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PEDIATRICS IN BREVARD, P.A. - Florida Company Profile

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Company Details

Entity Name: PEDIATRICS IN BREVARD, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 30 Oct 1997 (28 years ago)
Last Event: NAME CHANGE AMENDMENT
Event Date Filed: 09 Mar 1998 (27 years ago)
Document Number: P98000017379
FEI/EIN Number 593477388
Address: 1018 S Florida Ave., Ste A, ROCKLEDGE, FL, 32955, US
Mail Address: 1018 S Florida Ave., Ste A, ROCKLEDGE, FL, 32955, US
ZIP code: 32955
City: Rockledge
County: Brevard
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
FORCIER TARA AM.D. President 1018 S Florida Ave., Ste A, ROCKLEDGE, FL, 32955
FORCIER TARA AM.D. Director 1018 S Florida Ave., Ste A, ROCKLEDGE, FL, 32955
NGUYEN HIEP LM.D. Secretary 1018 S Florida Ave., Ste A, ROCKLEDGE, FL, 32955
NGUYEN HIEP LM.D. Treasurer 1018 S Florida Ave., Ste A, ROCKLEDGE, FL, 32955
NGUYEN HIEP LM.D. Director 1018 S Florida Ave., Ste A, ROCKLEDGE, FL, 32955
ULRICH MARY WM.D. Vice President 1018 S Florida Ave., Ste A, ROCKLEDGE, FL, 32955
ULRICH MARY WM.D. Director 1018 S Florida Ave., Ste A, ROCKLEDGE, FL, 32955
TEBBE PAUL CM.D. Vice President 1018 S Florida Ave., Ste A, ROCKLEDGE, FL, 32955
TEBBE PAUL CM.D. Director 1018 S Florida Ave., Ste A, ROCKLEDGE, FL, 32955
KENNEDY JOHN CM.D. Vice President 1018 S Florida Ave., Ste A, ROCKLEDGE, FL, 32955

National Provider Identifier

NPI Number:
1154303790

Authorized Person:

Name:
MRS. KAREN ALLISON
Role:
BUSINESS OFFICE MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
208000000X - Pediatrics Physician
Is Primary:
Yes

Contacts:

Fax:
3216362545

Form 5500 Series

Employer Identification Number (EIN):
593477388
Plan Year:
2020
Number Of Participants:
104
Sponsors Telephone Number:
Plan Year:
2019
Number Of Participants:
98
Sponsors Telephone Number:
Plan Year:
2018
Number Of Participants:
97
Sponsors Telephone Number:
Plan Year:
2017
Number Of Participants:
100
Sponsors Telephone Number:
Plan Year:
2016
Number Of Participants:
104
Sponsors Telephone Number:

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G24000078490 PEDIATRICS IN BREVARD ACTIVE 2024-06-27 2029-12-31 - 134 S WOODS DRIVE, ROCKLEDGE, FL, 32955

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2017-03-13 FORCIER, TARA A., M.D. -
CHANGE OF PRINCIPAL ADDRESS 2012-03-08 134 SOUTH WOODS DRIVE, ROCKLEDGE, FL 32955 -
CHANGE OF MAILING ADDRESS 2012-03-08 134 SOUTH WOODS DRIVE, ROCKLEDGE, FL 32955 -
REGISTERED AGENT ADDRESS CHANGED 2012-03-08 134 SOUTH WOODS DRIVE, ROCKLEDGE, FL 32955 -
NAME CHANGE AMENDMENT 1998-03-09 PEDIATRICS IN BREVARD, P.A. -

Documents

Name Date
ANNUAL REPORT 2024-03-01
ANNUAL REPORT 2023-01-24
ANNUAL REPORT 2022-03-08
ANNUAL REPORT 2021-02-08
ANNUAL REPORT 2020-03-13
ANNUAL REPORT 2019-03-21
ANNUAL REPORT 2018-03-12
ANNUAL REPORT 2017-03-13
ANNUAL REPORT 2016-03-02
ANNUAL REPORT 2015-02-26

USAspending Awards / Financial Assistance

Date:
2020-04-13
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
991900.00
Total Face Value Of Loan:
991900.00

Paycheck Protection Program

Jobs Reported:
96
Initial Approval Amount:
$991,900
Date Approved:
2020-04-13
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$991,900
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$1,001,763.89
Servicing Lender:
Truist Bank
Use of Proceeds:
Payroll: $991,900

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Date of last update: 03 Aug 2025

Sources: Florida Department of State